| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
United
| Professional | $258.27 | $258.27 | $301.45 |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; each additional device insertion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
United
| Professional | $258.27 | $258.27 | $301.45 |